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psnet.ahrq.gov/node/46309/psn-pdf
December 22, 2018 - Effects of the I-PASS nursing handoff bundle on
communication quality and workflow.
December 22, 2018
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication
quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224.
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psnet.ahrq.gov/node/37207/psn-pdf
September 09, 2008 - Publicly available hospital comparison web sites:
determination of useful, valid, and appropriate
information for comparing surgical quality.
September 9, 2008
Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determination of useful,
valid, and appropriate information for comparing …
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psnet.ahrq.gov/node/74206/psn-pdf
December 22, 2021 - Direct oral anticoagulant-related medication incidents and
pharmacists' interventions in hospital in-patients:
evaluation using Reason's accident causation theory.
December 22, 2021
Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmacists’
interventions in hospita…
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psnet.ahrq.gov/node/866161/psn-pdf
June 19, 2024 - Patient Safety Indicators at an academic veterans affairs
hospital: addressing dual goals of clinical care and
validity.
June 19, 2024
Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital:
Addressing Dual Goals of Clinical Care and Validity. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/837063/psn-pdf
May 11, 2022 - Patients' experiences and perspectives of patient-
reported outcome measures in clinical care: a systematic
review and qualitative meta-synthesis.
May 11, 2022
Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported
outcome measures in clinical care: a systematic revie…
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psnet.ahrq.gov/node/61121/psn-pdf
November 11, 2020 - Out of sight, out of mind: a prospective observational
study to estimate the duration of the Hawthorne effect on
hand hygiene events.
November 11, 2020
Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to
estimate the duration of the Hawthorne effect on hand hy…
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psnet.ahrq.gov/node/854384/psn-pdf
January 01, 2024 - Look-alike medications in the perioperative setting:
scoping review of medication incidents and risk reduction
interventions.
October 11, 2023
Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of
medication incidents and risk reduction interventions. Int J Clin Ph…
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psnet.ahrq.gov/node/856586/psn-pdf
November 29, 2023 - The complexities of communication at hospital discharge
of older patients: a qualitative study of healthcare
professionals' views.
November 29, 2023
Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older
patients: a qualitative study of healthcare professionals’ view…
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psnet.ahrq.gov/node/73608/psn-pdf
January 01, 2022 - Pharmacist-led intervention on the reduction of
inappropriate medication use in patients with heart
failure: a systematic review of randomized trials and non-
randomized intervention studies.
August 18, 2021
Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention on the reduction of
inappropri…
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psnet.ahrq.gov/node/60277/psn-pdf
January 01, 2021 - Evidence that nurses need to participate in diagnosis:
lessons from malpractice claims.
April 29, 2020
Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons
from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621.
https://psnet.…
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psnet.ahrq.gov/node/836924/psn-pdf
April 13, 2022 - The analysis of hospital readmission rates after the
implementation of Hospital Readmissions Reduction
Program.
April 13, 2022
Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of
hospital readmissions reduction program. J Patient Saf. 2022;18(3):237-244.
doi:…
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psnet.ahrq.gov/node/838067/psn-pdf
September 14, 2022 - The Psychological Safety Scale of the Safety,
Communication, Operational, Reliability, and Engagement
(SCORE) survey: a brief, diagnostic, and actionable
metric for the ability to speak up in healthcare settings.
September 14, 2022
Adair KC, Heath A, Frye MA, et al. The Psychological Safety Scale of the Safety, Co…
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psnet.ahrq.gov/node/866689/psn-pdf
September 11, 2024 - Human-AI teaming in critical care: a comparative analysis
of data scientists' and clinicians' perspectives on AI
augmentation and automation.
September 11, 2024
Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists'
and clinicians' perspectives on AI augmentat…
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psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - Shift-to-shift nursing handover interventions associated
with improved inpatient outcomes - falls, pressure
injuries and medication administration errors: an
integrative review.
June 9, 2021
Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient
outcomes—falls, pressure …
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psnet.ahrq.gov/node/45441/psn-pdf
September 21, 2016 - Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis.
September 21, 2016
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis. BMJ oOen. 2016;6(8):e011403.
…
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psnet.ahrq.gov/node/867336/psn-pdf
December 11, 2024 - Enhancing safe medication use in home care: insights
from informal caregivers.
December 11, 2024
Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights
from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.2024.1494771.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44857/psn-pdf
March 23, 2016 - Health IT Safe Practices. Toolkit for the Safe Use of Copy
and Paste.
March 23, 2016
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; February 2016.
https://psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
Electronic health records have potential to improve health …
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psnet.ahrq.gov/node/50792/psn-pdf
January 15, 2020 - Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large
academic medical center
January 15, 2020
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large academic medi…
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psnet.ahrq.gov/node/61040/psn-pdf
January 01, 2021 - Cancer diagnostic delay in Northern and Central Italy
during the 2020 lockdown due to the coronavirus disease
2019 pandemic.
October 21, 2020
Ferrara G, De Vincentiis L, Ambrosini-Spaltro A, et al. Cancer diagnostic delay in Northern and Central Italy
during the 2020 lockdown due to the coronavirus disease 2019 pa…
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psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in
Pennsylvania.
July 8, 2020
Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d…